Hiring a Caregiver

When a senior needs extra assistance with their care, because of memory loss, an age-related illness or mobility issues, it becomes necessary to evaluate the best way to provide for the care needs.

The senior care industry refers to these basic care needs as "Activities of Daily Living".  This includes assisting with walking, bathing, toileting and meals.  Nursing Aides and Home Health Aides (each state sets requirements for certification for nursing assistants) are trained to properly provide for senior care needs.  Certification classes usually take 4 to 8 weeks (depending on if it is a part-time or full-time program).  Nursing facilities and hospitals are usually required to have a minimum level of certified nursing assistants on staff based on the number of residents and patients.  Senior Home Care Agencies may staff companion caregivers, as well as nursing aides, depending on the care needs of the senior.

It is important to consider the toll caregiving will take on a spouse or relative.  The physical work required can be substantial and when this is combined with the need to interact with a loved one as a caregiver, the relative can quickly become exhausted and sometimes even depressed.  This is because they are most likely missing out on many of their own daily activities which they now no longer have the time to enjoy.

Many families have told me that hiring a professional caregiver was the best decision they ever made.  The cost is really minimal when you consider that it will allow relatives to spend quality time with their loved one.  Many times the health of a spouse who is performing the duties of caregiving will also decline significantly.  Caregiving is not easy work.  However, it is a little easier when the person performing the care is not a relative or friend and is able to come to work refreshed and leave to go back to their own life.

Caregiverlist does provide quality standards for Senior Home Care Agencies who provide information on their rates and services for our users and you can learn more about the benefits of hiring a senior home care agency from our home page.

, ,

Certified Nursing Aide

One of the first questions a senior will ask when needing additional care services is:  what duties does a Certified Nursing Aide perform?

My answer is always that the Certified Nursing Aide is the person who performs the "hands-on" care in a nursing home or in hospitals.

The department of public health in each state creates their own nursing aide certification guidelines.   Schools must receive approval to offer a Certified Nursing Aide program and nursing aides working in licensed nursing facilities must be certified.

There are many little details for providing care which can make a huge difference in the quality of the care - nursing aides learn these details as a student in a nursing certification program.

Skills include:  transfers, bathing, dressing, bed pan and catheter care, range of motion exercises, checking vital signs, decubitus ulcer care (bed sores), feeding tube, oxygen tank, hearing aide care, understanding age-related medical conditions and how to interact with a variety of patient personalities (including combative patients).  Making sure sanitary conditions are always maintained are also taught.

Tuition for Certified Nursing Aide training is usually from $500 to $1,000 and many times reimbursement is available through employee programs at nursing centers and hospitals or through city or state incentive programs.

Harold Washington College, a city community college in Chicago, Illinois, charges a $629 tuition fee for their Certified Nursing Aide program.  The Spring semester runs from January 19th and runs for 12 or 13 weeks depending on if it is the day or evening program.  The day program meets Mondays and Wednesdays from 8am to 4pm and the evening program meets Thursdays and Fridays from 4pm to 9pm.

Upon completion of the course, students take the state exam and then may begin working as a Certified Nursing Aide.



, ,

January Unemployment at 7.6% but not for Caregivers

Although the unemployment rate for January has been reported as 7.6%, the good news is that jobs actually increased in the healthcare industry. 

Medicare does not provide for longterm care in a nursing home and because of this, more and more seniors are making the decision to receive one-to-one care by their own professionally managed caregiver at home, rather than rehabilitating from a stroke or hip replacement in a nursing center which may often only provide one nursing aide for every 12 to 15 senior patients.  This prevents the aid from being able to adequately interact and motivate each elderly patient adequately, especially if one patient has a mishap which requires more time. 

In fact, staffing is sometimes inadequate enough in many nursing homes that even those seniors who are rehabilitating in the nursing center while Medicare is paying for their care will hire their own private senior caregiver to assist them. 

Working as a senior caregiver or Certified Nursing Aide or Home Health Aide will pay between $8.00 and $16.00 per hour, depending on what part of the U.S.A. you live in.  In addition, you receive professional training and benefits.  Companion care may not require formal training beyond what a senior care company provides and usually pays 50% to 100% more than minimum wage.

In addition, senior caregiving delivers a fulfilling career, as you know you truly made a positive difference for someone when you go home at the end of the day.  As caregiving sometimes require 24-hour around the clock staffing, there are many opportunities for weekend and evening hours for those who are seeking extra income or a part-time job while studying for a professional career.  Many times nurses and social workers will work as companion caregivers while in school studying for their prerequisites for nursing school or while an undergrad.

Caregiverlist's Career Center provides information about working as a caregiver and connects applicants with hiring senior care companies in their area. You can also read stories from other caregivers to learn about their experiences working as a senior caregiver.

 

, ,

Senior Volunteering

President-elect Barack Obama said Wednesday that he wants his inauguration to be about more than him; it should be about getting all Americans involved in community service.

Obama and Vice President-elect Joe Biden and their families plan to participate in service projects in the Washington area Jan. 19th and are encouraging every American to roll up their sleeves and become involved in their communities to renew the promise of America.

If you are a senior, this is a reminder to get involved in your community, especially if you are retired and now have the time to volunteer.  And if you are a Caregiver, this is an opportunity to take the skills you have learned to other seniors.  Seniors are usually the most grateful group to volunteer for as many of them may have experienced the loss of family and friends and are open to making new friends and welcoming volunteers.

From meal programs to senior services, you can find out about senior volunteer programs through your local Area Agency on Aging and you can find this information in Caregiverlist's "By State" listings.

And, if you are thinking about becoming a professional caregiver but do not have paid experience, look into volunteering with a local hospice which will usually provide you with training and assign you to one-on-one care with a senior.  This is great caregiving experience that will assist you in finding a caregiving job.

, ,

Quality Hiring Practices for Caregivers

Professionally hired Caregivers have a few advantages over those who do not work for a quality licensed Senior Home Care Agency or senior living community.  And, so do the seniors who they serve.

As corporations carry insurance coverage for liability and provide a Fidelity Bond, they are required to follow certain procedures for hiring.  In addition, in order to provide quality care and maintain a dependable staff, they have implemented hiring practices which screen Caregivers for dependability, skills and trustworthiness.  Many systems must be in place to properly screen a Caregiver for hiring purposes and to actively manage a Caregiver to provide them with all the resources they need to deliver quality senior care.

Did you see the movie "Catch Me if You Can"?  Frank Abagnale is the star of the movie and a con-artist who poses as an airline pilot and medical doctor, to name just a couple of his disguises, to successfully steal from companies and individuals.  Frank served his time in prison and now advises companies and is hired to train the FBI on how to avoid scam artists.  Frank has also written a book called "The Art of the Steal" to advise companies and individuals on how to protect themselves.  (Tom Hanks acted in the movie and provides a testimonial for reading the book saying anyone with money in their pocket or in the bank should read it).  My business banker actually gave me a copy of the book and I have found it to be fascinating reading.

Caregiverlist promotes the need for professional background checks to be conducted on all Caregivers.  In addition, we provide information on background check laws in each state and try to educate consumers about the need for a multi-state criminal background check - - - many of the nanny websites and direct-hire caregiving websites that provide background checks simply do not provide multi-state criminal background checks - they just provide the good ol' social security name match and many of those are not even complete to include addresses where the person has lived, going back for at least 7 years.  I won't name names but if the background check is free, ask questions and click fast to another website that explains the depth of their background checks and discloses the costs.  That is especially true when you are hiring a Caregiver to come behind closed doors to assist your family.  You need to know who you are bringing into your home and who will have access to the senior's personal information.

Frank Abagnale's book provides solid information about hiring employees and putting controls in place to prevent improper conduct.  After owning a senior home care agency and hiring more than 1,000 Caregivers during that time, I agree that proper systems are necessary so that even an honest person is not tempted.  Caregiving is stressful and when a comfort level is developed with a client relationship, if proper systems are not in place, opportunities for taking advantage are presented.  Caregivers for seniors also need to be protected from false accusations by seniors with memory loss who can become paranoid.

Frank's book also mentions a study which found that 10 percent of employees would steal all of the time if given an easy enough opportunity, another 10 percent would never steal and 80 percent would steal if given the right motive.  That means companies must be concerned about 90 percent of their workforce and have systems in place which prevent the opportunity for theft from being offered.

This is why, especially with senior care in the home, a professional senior home care agency provides great value.  Senior home care agencies have created hiring procedures which keep people with dubious backgrounds out of their companies and they know how to do quality background checks and how to go beyond background checks with reference checks and interview questions which enable them to only hire trustworthy caregivers.  And, they coach clients and set-up controls so that invitations for theft and other improprietary activities cannot take place.  They supervise the caregivers and check-in on the client and caregiver to keep the care on track.  Career caregivers working for professional agencies receive benefits and want to maintain their employment and in my experience, will call immediately to report even activities by  a senior's family members which may not seem appropriate.  They also want proper system in place.  Senior Home Care Agencies, for instance, require Caregivers to call for approval before accepting any client gifts, even at the holidays, just to name one of the policies which protect both the client and the caregiver.

You may learn more about background checks on Caregiverlist.com and find the laws for background checks in your state which may over-ride the FCRA when senior care or child care is being provided.

 

 

 

, ,
Log in